White Bumps on the Penis: Common Concerns and Questions - Urology

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I saw this website and I have a comment; I would like to clarify a few things?


Hello Dr.
Hsu: I apologize for reaching out after reading this website, but I have a few questions that I would like to clarify.
I came across the following comment and generated a question from it.
I hope the original poster doesn't mind me quoting their message (I only included the relevant parts):
[Date] 2005/06/30
[Question] Poster: Dd / Male / I was curious and helped a male friend with masturbation...
However, when I was helping him...
(I know there are small white spots that can appear at the junction of the foreskin and glans...
I know these are not warts and are harmless to the body...
Many people have them, and I have them too...) I would like to ask about those (the small white spots at the junction of the foreskin and glans...
I know these are not warts and are harmless to the body...
Many people have them, and I have them too...) (Note: He mentioned they are on the foreskin, so they shouldn't be pearly penile papules, right?) What are these? I previously mentioned that I have these spots because my small bumps are located at the edge of the foreskin near the glans, and they are white! What color are pearly penile papules? The small spots at the edge of my glans are the same color as the glans (which is red)! Additionally, I want to ask about some acne-like bumps above the scrotum; I’m not sure if I’m mistaken, but they seem to have hair growing from them.
Are those hair follicles? Lastly, I would like to know how large the area where pubic hair grows is (what is the range)? Doctor, I apologize for bothering you frequently.

Dan Xin Ren, 10~19 year old female. Ask Date: 2005/07/29

Dr. Xu Weikai reply Urology


Dear Sir/Madam,
The so-called pearly penile papules are located in the sulcus beneath the glans penis, typically arranged in a circular pattern resembling a necklace.
They are generally painless and asymptomatic, representing a normal anatomical structure.
They usually appear flesh-colored and may sometimes look whitish.
The presence of acne on the pubic hair is also not unusual; as long as there are sebaceous glands, the occurrence of acne is possible, which is quite common.
Are you certain it is acne and not an infection? It is advisable to seek medical attention for a proper diagnosis.
Sincerely,
Director Hsu Wei-Kai
Department of Urology
Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2005/07/29

More Info


When it comes to the appearance of white bumps on the penis, there are several potential explanations that can range from benign to more serious conditions. Understanding these can help alleviate concerns and guide appropriate action.

One common cause of white bumps on the penis is Pearly Penile Papules. These are small, dome-shaped, white or skin-colored bumps that typically appear around the corona (the ridge of the glans) of the penis. They are completely harmless and are considered a normal anatomical variation. Many men have them, and they do not require treatment unless the individual desires removal for cosmetic reasons.

Another possibility is Fordyce Spots, which are small, painless, pale bumps that can appear on the shaft of the penis. These spots are sebaceous glands that are visible due to their location just beneath the skin. Like Pearly Penile Papules, Fordyce Spots are benign and do not pose any health risks.

If the white bumps are accompanied by other symptoms such as itching, burning, or pain, it could indicate a condition such as Pearly Penile Papules or Genital Warts caused by the Human Papillomavirus (HPV). Genital warts are typically flesh-colored or white and can appear as small bumps or groups of bumps. They are sexually transmitted and can be treated with various methods, including topical treatments or procedures performed by a healthcare provider.

Another condition to consider is Lichen Sclerosus, which can cause white patches or bumps on the skin of the penis. This is a chronic inflammatory condition that may require medical treatment, including topical steroids.

In some cases, Folliculitis (inflammation of hair follicles) can also present as small white bumps, particularly if there is hair growth in the area. This condition is usually self-limiting and can be managed with good hygiene and topical treatments.

Regarding the question about bumps on the scrotum or surrounding areas, it is not uncommon for men to have small, acne-like bumps in these regions. These could be hair follicles or sebaceous cysts, which are generally harmless. However, if there are changes in size, color, or if they become painful, it is advisable to seek medical evaluation.

As for the question about the size and location of pubic hair, it typically grows in the area surrounding the genitals, including the base of the penis and the scrotum, extending to the inner thighs. The density and extent of hair growth can vary significantly among individuals due to genetic factors and hormonal influences.

In conclusion, while many white bumps on the penis and surrounding areas are benign and common, it is essential to monitor any changes and consult a healthcare professional if there are concerns about symptoms or if the appearance of the bumps changes. Regular self-examinations and awareness of one’s body can help in identifying any unusual changes early on, leading to timely medical advice and intervention if necessary.

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